MEDICAL CENTER ORTHOTICS AND PROSTHETICS, LLC (NPI# 1669880027) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669880027 |
| Entity Type | Organization |
| Organization Name | MEDICAL CENTER ORTHOTICS AND PROSTHETICS, LLC |
| Practice Address |
2012 Renard Ct Suite G Annapolis MD 21401-6761 |
| Mailing Address |
2421 Linden Ln Silver Spring MD 20910-1230 |
| Practice Telephone | 4105732374 |
| Practice Fax Number | 4105732373 |
| Mailing Telephone | 3015855347 |
| Mailing Fax Number | 3015854383 |
| Enumeration Date | 2014-07-30 |
| Last Update Date | 2020-08-24 |
| Authorized Official Name | MICHAEL CORCORAN (CEO) |
| Authorized Official Telephone | 3015855347 |
| Authorized Official Credential | CPO |
| Is Organization Subpart | Y |
| Parent Organization Name | MEDICAL CENTER ORTHOTICS AND PROSTHETICS, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 335E00000X | Prosthetic/Orthotic Supplier | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306470687 | Medical Center Orthotics and Prosthetics, LLC | Prosthetic/Orthotic Supplier | 4600 Wilkens Ave Ste 105, Baltimore, MD 21229-4843 | 2020-02-26 |
| 1144611302 | Medical Center Orthotics and Prosthetics, LLC | Prosthetic/Orthotic Supplier | 3232 Georgia Ave Nw Ste 103, Washington, DC 20010-3084 | 2015-02-10 |
| 1356951651 | Medical Center Orthotics and Prosthetics, LLC | Prosthetic/Orthotic Supplier | 224d Cornwall St Nw, Leesburg, VA 20176-2713 | 2020-08-03 |
| 1023487618 | Medical Center Orthotics and Prosthetics, LLC | Prosthetic/Orthotic Supplier | 500 Lincoln St, Boston, MA 02134-1536 | 2015-09-24 |
| 1336172196 | Medical Center Orthotics and Prosthetics, LLC | Orthotist | 199 Reedsdale Rd, Milton, MA 02186 | 2006-07-07 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | MEDICAL CENTER ORTHOTICS AND PROSTHETICS, LLC | 2421 Linden Ln, Silver Spring, MD 20910-1230 |
| Street Address |
2012 RENARD CT SUITE G |
| City | ANNAPOLIS |
| State | MD |
| Zip Code | 21401-6761 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245654151 | Medical Center Orthotics and Prosthetics LLC | Prosthetic/Orthotic Supplier | 2012 Renard Ct, Suite G, Annapolis, MD 21401-6761 | 2014-02-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497377154 | Michael Khorsandi | Student in an Organized Health Care Education/Training Program | 2001 Medical Parkway, Clatanoff Pavillon, Gmw Office, Annapolis, MD 21401 | 2020-05-15 |
| 1275172033 | Katrice N Nelson | Massage Therapist | Wellsview Cottage Center, 613 Ridgely Avenue, Annapolis, MD 21401 | 2019-12-27 |
| 1548803521 | Victoria Reimnitz | Behavioral Analyst | 2028 Indusrtrial Dr, Ste B&c, Annapolis, MD 21401 | 2019-10-23 |
| 1700438140 | Emily Megan Burke | Nurse Practitioner | 200 Forbes St Annapolis, Md 21401, Suite 200, Annapolis, MD 21401 | 2019-07-16 |
| 1316504848 | Sherina Maryam Shamsa | Counselor | 1830 Forest Drive, Suite H-2, Annapolis, MD 21401 | 2019-05-21 |
| 1497225288 | Jerilyn Deitch | Speech-Language Pathologist | Anne Arundel County Public Schools, 2644 Riva Rd, Annapolis, MD 21401 | 2018-12-05 |
| 1487124038 | Lucinda W Mimms | Speech-Language Pathologist | 2644 Riva Rd., Annapolis, MD 21401 | 2018-11-27 |
| 1487145496 | Michelle Baudean | Behavior Technician | 1919 West St Ste 201, Annapolis, MD 21401 | 2018-05-24 |
| 1730678954 | Stephanie Ruth Streb | Registered Nurse | 130 Admiral Cochrane Dr Ste 103, Annapolis, MD 21401 | 2018-05-02 |
| 1780183947 | Annapolis Sleep Center LLC | Clinic/Center | 2451 Riva Rd, Annapolis, MD 21401 | 2018-02-02 |
| Find all providers in zip 21401 | ||||
| Taxonomy Code | 335E00000X |
| Grouping | Suppliers |
| Classification | Prosthetic/Orthotic Supplier |
| An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition. |
| Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336524297 | Annapolis Rheumatology, LLC | Prosthetic/Orthotic Supplier | 128 Lubrano Drive, 201, Annapolis, MD 21401 | 2015-07-21 |
| 1336165745 | Nordstrom Inc & Subsidiaries | Prosthetic/Orthotic Supplier | 1880 Annapolis Mall, Annapolis, MD 21401-3117 | 2006-07-15 |
| 1275536484 | Alliance Orthopedic Labs, LLC | Prosthetic/Orthotic Supplier | 134 Holiday Ct Ste 302, Annapolis, MD 21401 | 2005-05-23 |
| 1801329263 | Boston Brace International Inc. | Prosthetic/Orthotic Supplier | 49 Old Solomons Island Rd, Suite 205, Annapolis, MD 21401-3854 | 2017-04-04 |
| 1245654151 | Medical Center Orthotics and Prosthetics LLC | Prosthetic/Orthotic Supplier | 2012 Renard Ct, Suite G, Annapolis, MD 21401-6761 | 2014-02-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174146153 | Rehabilitation and Wellness Associates | Prosthetic/Orthotic Supplier | 3333 N Calvert St Ste 585, Baltimore, MD 21218-6514 | 2020-05-25 |
| 1134755218 | Dope Beauty Bar | Prosthetic/Orthotic Supplier | 1459 Light St Ste 1, Baltimore, MD 21230-4549 | 2020-03-20 |
| 1306470687 | Medical Center Orthotics and Prosthetics, LLC | Prosthetic/Orthotic Supplier | 4600 Wilkens Ave Ste 105, Baltimore, MD 21229-4843 | 2020-02-26 |
| 1740823913 | Select Physical Therapy Holdings, Inc. | Prosthetic/Orthotic Supplier | 1305 S Salisbury Blvd Ste 5, Salisbury, MD 21801-6845 | 2019-10-21 |
| 1225697303 | Tonya Tennelle Briggs | Prosthetic/Orthotic Supplier | 5853 York Rd, Baltimore, MD 21212-3613 | 2019-06-11 |
| 1851861389 | Pink Couture Hair | Prosthetic/Orthotic Supplier | 4316 Hamilton St, Hyattsville, MD 20781-1938 | 2018-11-27 |
| 1174004535 | Crystal Angela White | Prosthetic/Orthotic Supplier | 11006 Spring Forest Way, Fort Washington, MD 20744-4877 | 2018-08-23 |
| 1205338860 | Cranial Technologies Inc | Prosthetic/Orthotic Supplier | 10750 Columbia Pike Ste 100, Silver Spring, MD 20901-4402 | 2018-02-28 |
| 1114426624 | Inarbi Enterprise Inc | Prosthetic/Orthotic Supplier | 739 W Pratt St Ste C, Baltimore, MD 21201-1167 | 2018-02-09 |
| 1609389725 | Emerge Empowerment Movement | Prosthetic/Orthotic Supplier | 872 Largo Center Dr, Largo, MD 20774-3705 | 2017-11-10 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.